NPIMap

Organization Active NPI

Tampa Bay Dental Sleep Excellence PA

  • General Practice Dentistry
  • Lithia, FL
National Provider Identifier
1265888606
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15191 Issued in FL
Legal business name
TAMPA BAY DENTAL SLEEP EXCELLENCE PA
Practice address
5486 Lithia Pinecrest Rd
Lithia, FL 33547-2853
Phone
(813) 571-5555
Fax
(813) 571-5559
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard M Kernagis, D.M.D.
Title
President
Phone
(813) 374-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN15191 FL Primary

Addresses

Primary practice location

5486 Lithia Pinecrest Rd
Lithia, FL 33547-2853

Mailing address

4307 W Jetton Ave
Tampa, FL 33629-4904
Phone (813) 374-0270

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1265888606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 W JETTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336294904",
            "telephone_number": "813-374-0270",
            "fax_number": "813-374-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 LITHIA PINECREST RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335472853",
            "telephone_number": "813-571-5555",
            "fax_number": "813-571-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY DENTAL SLEEP EXCELLENCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "KERNAGIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-374-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.